Freedom Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NV20101789254 Issued in NV

Legal business name

FREEDOM MEDICAL SUPPLY LLC

Practice address

8868 S Eastern Ave
115
Las Vegas, NV 89123-4823

Phone

(702) 386-9997

Fax

(702) 228-9996

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brad G Maurer

Title

Owner

Phone

(702) 386-9997

Specialties & licenses 1

Addresses

Tax ID family

Freedom Medical Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1235430349
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley G Maurer

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1588505374
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1659828739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8868 S EASTERN AVE",
            "address_2": "115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234823",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8868 S EASTERN AVE",
            "address_2": "115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234823",
            "telephone_number": "702-386-9997",
            "fax_number": "702-228-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-386-9997"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "NV20101789254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freedom in Home Care
• Freedom Interaction (Attention Learning Center)
• Freedom Labs & Diagnostics LLC
• Freedom Medical Group, LLC
• Freedom Medical Supply LLC
• Freedom Pharma LLC (Freedom Pharmacy)
• Freedom Wound Care LLC
• Freedom Wound Care LLC (Freedom Wound Care)
• Brandon D Freel, D.O.
• Alice Freeland

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.